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All Things Neonatal 22h
NICU SURVIVAL TIP Listen to the bedside nurse Don't think the MD itself after your name is superior to the knowledge gained after spending 8-12 hours at the bedside with a patient. When they say there is something wrong, LISTEN
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Michelle Kittleson MD PhD Sep 28
If your history or physical don't suggest a given diagnosis, don't order a test looking for it. Abnormal result + no context for interpretation = confusion, which benefits neither you nor the patient.
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onthewards.org Sep 27
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Allison Bond, MD Sep 24
Beware conversations in the stairwell, for you never know who is three floors up and listening.
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Gavin Preston, M.D. Sep 28
1. Assume you know little. Study the Dunning-Kruger Effect. 2. Don't gossip at work. If someone shares something, it stops with you. 3. Don't tell dirty jokes. No one needs a hostile work environment. 4. The time to get senior help is when you think of it!
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Gavin Preston, M.D. Sep 24
Traits I respect in a doctor: 1. . (Keeps asking the opinions of others.) 2. (No one cares how much you know, until they know how much you care.) 3. Diligence. (Keeps working the problem.) 4. Integrity. (Does what they say they'll do.)
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WesElyMD 21h
Replying to @WesElyMD
🔥 Remember MAIN POINT: ⬇️ early intubation in here almost certainly meant avoidance of rampant potential harms that too often come w/ intubation (entombing patient in sedation coma & , immobility, inability to communicate, etc).
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Michelle Kittleson MD PhD Sep 25
On rounds, ask: is it necessary? -BID labs -Foley catheters -nasal cannulas -restricted diets (cardiac/low Na, etc) Per Coco Chanel: “Before you leave the house, look in the mirror and take one thing off.” Look at your pt and do the same!
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WesElyMD Sep 23
Less sedation in ? Nurse asked, “Would that cause harm?”   In 2008 our LANCET ABC study showed 15% ⬆️ SURIVAL vs deep sedation (eg benzos). In 2010 showed no excess PTSD or Depression & ⬆️ cognition.
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EMN #WearAMask 8h
The last year of training may be residents’ last opportunity to encounter many critical illnesses—most of them are not going to see rollovers and gunshots but dementia and dizziness after graduation, says
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Alvaro Proaño 17h
Today I was able to correctly fix an ñ in a patient’s medical chart. The registration person let me do it. In a PC: ALT+164 = ñ.
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onthewards.org 1h
Do you have a plan in place for investments & income to support your passions outside of work? Jules Willcocks talks financial wellness including income protection, life insurance for doctors
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WesElyMD Sep 23
10,000 VA patients with : JAMA Open   RFs for 💀 = older age, male sex, & comorbidities. Previously reported RFs in small studies were NOT predictors: obesity, Black, Hispanic, COPD, HTN & smoking.
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Dr Vin Sep 26
Part of life to learn how to navigate loss. is to help our patients to navigate loss.
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Cleveland Clinic IM Sep 24
What a day! If you haven’t checked out our story you are MISSING OUT! Check out a day in the life of Essa Hariri, M.D., PGY-2.
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WesElyMD Sep 27
Replying to @WesElyMD
7/ Awareness of as due to is not window dressing. Our care, coding, public health communication & research depend on us calling something what it is, especially perhaps because this version is a bit GNARLIER than most.
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WesElyMD Sep 23
Long-Haulers : JAMA   “I joke, ‘Well,COVID has eaten my brain, because I can’t remember how to remember words, keep track of medication,’” she said. “My brain 🧠 feels like there’s a fog.”    
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medics.academy 2h
💡At we believe in healthcare professionals through so that they can provide better care! 👋Check out what our thinks of our programme so far! Join us! Sign up:
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Dr Vin 12h
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Michelle Kittleson MD PhD Sep 23
When filling prescriptions, ask pts if they'd prefer a 3-month supply for meds instead of a 1-month supply. It may be cheaper on their prescription plan and more convenient!
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